| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
431 |
417 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
135 |
133 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
103 |
103 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
218 |
217 |
$3K |
| 90723 |
|
68 |
68 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
51 |
50 |
$2K |
| 90686 |
|
287 |
286 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
27 |
$2K |
| 90670 |
|
183 |
179 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$908.30 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
82 |
80 |
$866.38 |
| 90647 |
|
111 |
110 |
$612.68 |
| 99188 |
|
13 |
13 |
$202.18 |
| 90633 |
|
32 |
30 |
$172.66 |